IndividualActive
Lily Iteld, PHD
NPI 1487936753 · Clinical Child & Adolescent Psychologist · Portland, OR
Provider details
- NPI number
- 1487936753
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 35143 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1509 Sw Sunset Blvd Ste 1d
Portland, OR 97239-2676
Phone: (503) 446-3435
Street-level locationGet directions
Mailing address
1509 Sw Sunset Blvd Ste 1d
Portland, OR 97239-2676
Additional practice locations (1)
- 9427 Sw Barnes Rd Ste 395Portland, OR 97225-6652Phone: (503) 216-6050
Registry dates
- Enumerated
- 2011-09-13
- Last updated
- 2024-05-25
- Certified
- 2024-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.